Intake Coordinator - Pharmacy Prior Authorization

Job Description
Additional Information About the Role Schedule Full time Monday-Friday 8a-5p No weekends/holidays Location On site Qualifications Experience with pharmacy prior authorizations strongly preferred Licensed pharmacy technician Overview BJC Home Care offers patients and their families a complete range of home care services, including skilled nursing services, adult and pediatric hospice and supportive care, rehabilitation therapy, home infusion therapy, infusion treatment rooms, home medical equipment and high-tech respiratory care. Specialty home care programs also are available, including adult and pediatric asthma, cardiac, diabetes, orthopedic and wound care programs. BJC Home Care provides care to thousands of patients in both Missouri and Illinois. Serving more than 25 counties, it has become the largest home care network in the region and one of the largest in the country. The Home Infusion Therapy Department of BJC Home Care Services works closely with physicians, patients and caregivers to enable patients to remain or return home while receiving intravenous medications. Our services include 24 hour on-call pharmacy and nursing services, comprehensive patient education materials, patient assessment and drug administration monitoring, and coordination of professional services including home care nursing and laboratory services. Preferred Qualifications Role Purpose The Intake Coordinator (non-clinical) is responsible for coordinating patient services during the home care intake process. This position manages all requests received via multiple work queues, monitoring potential patient admission dates and determining their eligibility for services. This position works with internal and external customers (patients, physician/referral sources, case managers, etc.) to ensure an outstanding customer experience. The Intake Coordinator ? HCS also collaborates with management and various team members to meet the CREST (compassion, respect, excellence, safety, teamwork) values and vision of BJC. Responsibilities Performs complete and accurate data entry of patient information; processes referrals and ensures that patient information, records and other documents are updated appropriately; assists external and internal customers on entering home health referrals correctly. Identifies and resolves problems encountered during the home health referral/order entry and confirmation processes; handles customer complaints received via phone and email; escalates problems and concerns as necessary. Monitors all work queues associated with the Central Referral Center; understands and processes all referral types; triages phone calls to other departments to ensure a good customer experience; passes along referrals/information to other services as needed to ensure that the comprehensive needs of the patient are met. Learns and becomes proficient in the use of all clinical platforms used by BJC (EPIC/ECIN/ON Base); participates in performance improvement initiatives & activities; helps to streamline and standardize work flows & processes; assists with the training and support of new staff members. Works closely with Authorization and Benefit departments, ensuring patient benefits and coverage parameters are accurate and communicated to the appropriate staff. BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job. Minimum Requirements Education High School Diploma or GED Experience <2 years Supervisor Experience No Experience Preferred Requirements Education Associate's Degree Experience 2-5 years Benefits and Legal Statement BJC Total Rewards At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being. Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date Disability insurance* paid for by BJC Pension Plan*/403(b) Plan funded by BJC 401(k) plan with BJC match Tuition Assistance available on first day BJC Institute for Learning and Development Health Care and Dependent Care Flexible Spending Accounts Paid Time Off benefit combines vacation, sick days, holidays and personal time Adoption assistance To learn more, go to www.bjctotalrewards.com/Benefits *Not all benefits apply to all jobs The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity EmployerQualifications
Role Purpose The Intake Coordinator (non-clinical) is responsible for coordinating patient services during the home care intake process. This position manages all requests received via multiple work queues, monitoring potential patient admission dates and determining their eligibility for services. This position works with internal and external customers (patients, physician/referral sources, case managers, etc.) to ensure an outstanding customer experience. The Intake Coordinator ? HCS also collaborates with management and various team members to meet the CREST (compassion, respect, excellence, safety, teamwork) values and vision of BJC. Responsibilities Performs complete and accurate data entry of patient information; processes referrals and ensures that patient information, records and other documents are updated appropriately; assists external and internal customers on entering home health referrals correctly. Identifies and resolves problems encountered during the home health referral/order entry and confirmation processes; handles customer complaints received via phone and email; escalates problems and concerns as necessary. Monitors all work queues associated with the Central Referral Center; understands and processes all referral types; triages phone calls to other departments to ensure a good customer experience; passes along referrals/information to other services as needed to ensure that the comprehensive needs of the patient are met. Learns and becomes proficient in the use of all clinical platforms used by BJC (EPIC/ECIN/ON Base); participates in performance improvement initiatives & activities; helps to streamline and standardize work flows & processes; assists with the training and support of new staff members. Works closely with Authorization and Benefit departments, ensuring patient benefits and coverage parameters are accurate and communicated to the appropriate staff. BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job. Minimum Requirements Education High School Diploma or GED Experience <2 years Supervisor Experience No Experience Preferred Requirements Education Associate's Degree Experience 2-5 years
Responsibilities
BJC Home Care offers patients and their families a complete range of home care services, including skilled nursing services, adult and pediatric hospice and supportive care, rehabilitation therapy, home infusion therapy, infusion treatment rooms, home medical equipment and high-tech respiratory care. Specialty home care programs also are available, including adult and pediatric asthma, cardiac, diabetes, orthopedic and wound care programs. BJC Home Care provides care to thousands of patients in both Missouri and Illinois. Serving more than 25 counties, it has become the largest home care network in the region and one of the largest in the country. The Home Infusion Therapy Department of BJC Home Care Services works closely with physicians, patients and caregivers to enable patients to remain or return home while receiving intravenous medications. Our services include 24 hour on-call pharmacy and nursing services, comprehensive patient education materials, patient assessment and drug administration monitoring, and coordination of professional services including home care nursing and laboratory services.